ANZCTR search results

Small silent strokes are a known complication after endovascular procedures done to treat brain aneurysms. This is due to small clots that could form around the coils or stents used to treat the aneurysm. Blood thinners are given after such procedures to prevent this. This trial attempts to assess the efficacy of the blood thinner enoxaparin, as to whether it is better to give patients 1mg/kg or 1.5mg/kg doses after endovascular procedures for brain aneurysms.

The purpose of this study is to test the implementation of a model of supportive care involving multidisciplinary pre-habilitation interventions for men affected by prostate cancer choosing radical prostatectomy (and if applicable, their partner/spouse). This study aims to improve couples' psychological adjustment and supportive self-management prior to radical cancer surgery. Who is it for? Men (18 years and over) with newly diagnosed localised prostate cancer opting for radical prostatectomy (and, if applicable, their partner/spouse). Study details: Participants in this study will be randomly allocated into one of two groups. One group will receive standard care currently available at their clinical site (provision of oral and written information and the contact details of a prostate cancer specialist nurse for additional support if required). The other group will undergo the pre-habilitation multimodal model of supportive care, which involves: informational materials, pelvic floor muscle training, an evidence based self-management seminar, tailored exercise programme and tailored sexual well-being information. It is anticipated that the outcomes of this study will drive forward service improvements, produce information to help patients and their families and help clinical teams choose the most appropriate model of supportive care.

This study aims to define the prevalence of postural orthostatic tachycardia syndrome (POTS) amongst patients with chronic illness post SARS-CoV-2 (COVID-19) infection – also known as Long COVID syndrome (LCS). It also aims to unwrap the pathophysiological features of POTS amongst this cohort by defining the contribution of inflammation, neuroendocrine dysfunction, and autoimmunity towards their dysautonomia. A detailed clinical history, examination, autonomic testing and cardiac investigations will be undertaken. Additionally, blood work and urine analysis will characterize and quantify neuroendocrine, inflammatory, and immune biomarkers. Various symptom questionnaires will be used to delineate quality of life, symptom severity, cognitive function and psychological impact of LCS and POTS in these patients. We hypothesise that those with Long Covid Syndrome will present with a similar autonomic profile and symptomology consistent with those patients diagnosed with postural orthostatic tachycardia syndrome. Additionally we anticipate that neuroendocrine, inflammatory and immune markers will be similarly altered in those with POTS and LCS compared to healthy matched controls.

A randomised controlled trial will test the effectiveness of a support intervention in reducing symptoms of depression and burden of carers of people with dementia at 6-months. Carers residing in the community will be recruited via public and private geriatrician clinics and randomly allocated to usual care or the intervention. Usual care participants will receive standard care. Intervention participants will have access to a package of resources that support carers to monitor and manage symptoms/concerns of the person with dementia, as well as their own wellbeing. Components include: a hard copy manual of World Health Organisation (WHO) iSupport program, bi-monthly face-to-face group sessions, and monthly screening with telephone follow-up by a trained Intervention Facilitator. Outcome data, including carer depression, burden and proxy-rated symptoms of dementia will be collected via survey (hard copy, online or telephone as preferred by the participant) at baseline, 3 and 6 months follow-up.

Moderate-risk surgical patients appear to have a high incidence of early, often undetected, serious postoperative complications. This affects patients’ wellbeing and produces a high rate of unplanned postoperative hospital re-admissions. This is also costly, and patients unnecessarily fill inpatient beds. A trial of a new model of enhanced care after surgery (Advanced Recovery Room Care, ‘ARRC’) demonstrated that complications were quickly identified and expertly addressed. Re-admission days appeared to be decreased by 80%. Business and economic analysis showed (i) patients could expect 3 extra days at home, (ii) 4000 bed days could be freed annually, and (iii) better care at lesser cost (technically, ICER of -$600/day at home). Freeing hospital beds, and rapid cost savings, are especially important with current economic challenges with Covid. This trial re-introduces ARRC for Orthopaedic, Colorectal, Gynae-Oncology and Neurosurgery, then other specialties, to formally test the apparent benefits. It adds better risk assessment and triage tools. Datasets from patient progress and vital signs are used to improve patient risk stratification and triage at defined timepoints before, during, and after surgery, allowing better and earlier identification of patients (not) needing ongoing ARRC, reducing costs further. A Markov cost-effectiveness model provides the platform for cost effectiveness outcomes (Days at Home V Cost). This work addresses all Principles from a recent national summit on postoperative complications - https://thehiddenpandemic.com

This trial is based on findings from a studies conducted overseas which investigated the same product that will be used in this study to reduce weight. It was found to be very beneficial in these populations to reduce weight in people who are overweight, but we need to find out if it also assists people in Australia. Overweight is considered to be anyone who has a body mass index (BMI) between 25 to 29.9. This trial involves participation in a randomized controlled clinical trial which means being randomized to either a placebo or an active product group. There will be three trial sites, Lismore, Gold Coast or Brisbane. It will be conducted for 16 weeks (4 months) per person.

The hypothesis is that there are certain types of what are called schizotypy (schizophrenic-like) states or traits that can predict how a person may respond to THC and/or CBD: in a pro- or anti-psychotic manner, to guide potential medicinal use of cannabis in psychiatry. The aim s to compare THC (the psychoactive component in cannabis) with CBD ("non-psychoactive" component in cannabis) on its effects on the multi-sensory perceptions in the healthy volunteers. We have previously shown that certain drugs can produce effects on the perception of illusions that are similar to differences in the perceptions of those illusions by people suffering from schizophrenia. Determining the effect of the cannabinoids on these differences in perceptions in healthy people, and the relationship of those effects with the effect on mild schizophrenic similar states and traits may allow us to determine which people will find THC or CBD to be medicinally helpful, and those that should avoid these drugs.

This project is testing the safety and pharmacokinetics and pharmacodynamics of single and multiple oral doses of a new drug called PRTX007. PRTX007 is being developed for the treatment of patients with COVID-19 and the prevention of viral infection in adults and children exposed to SARS-CoV-2 You may be eligible for this study if you are a healthy adult man or woman aged between 18 and 65 years old. In Cohorts 1 through 8, participants will be randomised (assigned randomly, like flipping a coin) to receive single oral dose(s) of either the active study drug or placebo. In Cohorts 9 through 12, participants will be randomised (assigned randomly, like flipping a coin) to receive multiple oral dose(s) of either the active study drug or placebo. For subjects in Cohorts 1, 3, 4, 5, 6, 7 and 8, study participation will require 29 calendar days which will include 4 days (3 nights) in the CRU. For subjects in Cohort 2, study participation will require 56 calendar days which will include two stays of 4 days (3 nights) each in the CRU. For subjects in Cohorts 9, 10, 11 and 12, study participation will require 42 calendar days which will include 15 days (14 nights) in the CRU. It is hoped that this research will help determine the safety of PRTX007 when given to healthy men or women so that it can be tested in patients with COVID-19.

The aim is to conduct a feasibility trial of First Step, a substance-use brief intervention of 2 sessions, which is based upon the Quikfix Intervention, and has been adapted through a co-designed collaboration between UQ and LLW staff. We will recruit 400 participants (200, 18-35 years, 200 over 35 years). It is expected that First Step will result in significant reductions in substance use (as measured by the WHO ASSIST and ATOP), when comparing baseline to 1 and 3 month follow-up evaluations.

The aim of this study is to a trial a parent-focussed treatment program for sleep problems in young children delivered by videoconference. We will determine whether the sleep program is more effective than waitlist, in reducing sleep, fear and anxiety problems in children, and improving parenting and family outcomes. Furthermore, the program including the delivery mode (video conference) will be evaluated by parent satisfaction ratings as well as a 15-minute telephone interview.